Entrapped Thrombus in a Foramen Ovale Causing Pulmonary Emboli Treated with Emergent Surgery. Literature Review

2015 ◽  
Vol 17 (6) ◽  
pp. 293
Author(s):  
Edvin Prifti ◽  
Edmond Nuellari ◽  
Albana Doko
Keyword(s):  
Right Ventricular ◽  
Ventricular Dysfunction ◽  
Pulmonary Thromboembolism ◽  
Right Ventricular Dysfunction ◽  
Beating Heart ◽  
Pulmonary Emboli ◽  
Foramen Ovale ◽  
Pulmonary Embolectomy ◽  
Excellent Outcome ◽  
Emergent Surgery

A 60-year-old woman was admitted due to massive bilateral pulmonary thromboembolism and entrapped thrombus in the patent foramen ovale and severe right ventricular dysfunction. The patient underwent on-pump/beating heart removal of the intracardiac thrombus and bilateral pulmonary embolectomy. The postoperative course was uneventful. The chosen surgical strategy seems to offer excellent outcome in patients with severe right ventricular dysfunction.

scholarly journals Evolution of Right Ventricular Dysfunction Markers in Patients with Intermediate-High Risk Pulmonary Thromboembolism

2021 ◽  
Vol 55 (3/2021) ◽  
pp. 315-330
Author(s):  
ION ALEXANDRU CRISTIAN ◽  
BUSNATU ȘTEFAN ◽  
BADIU CRISTINEL DUMITRU ◽  
PARTAS-CIOLAN ROXANA-VIOLETA ◽  
SINESCU JULIETA ◽  
...  
Keyword(s):  
High Risk ◽  
Right Ventricular ◽  
Ventricular Dysfunction ◽  
Pulmonary Thromboembolism ◽  
Right Ventricular Dysfunction

scholarly journals Doxycycline protects against right ventricular dysfunction and dilatation caused by acute pulmonary thromboembolism

2012 ◽  
Vol 26 (S1) ◽  
Author(s):  
Evandro Manoel Neto Neves ◽  
Ozelia Sousa Santos ◽  
Karina Coutinho Ferraz ◽  
Carla Speroni Ceron ◽  
Minna Dias Romano ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Ventricular Dysfunction ◽  
Pulmonary Thromboembolism ◽  
Right Ventricular Dysfunction ◽  
Acute Pulmonary Thromboembolism

scholarly journals Acute Surgical Pulmonary Embolectomy: A 9-Year Retrospective Analysis

2015 ◽  
Vol 42 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Alan R. Hartman ◽  
Frank Manetta ◽  
Ronald Lessen ◽  
Renee Pekmezaris ◽  
Andrzej Kozikowski ◽  
...  
Keyword(s):  
New York ◽  
Pulmonary Embolism ◽  
Mortality Rate ◽  
Right Ventricular ◽  
Health System ◽  
Acute Pulmonary Embolism ◽  
Ventricular Dysfunction ◽  
New York State ◽  
Right Ventricular Dysfunction ◽  
Pulmonary Embolectomy

Acute pulmonary embolism is a substantial cause of morbidity and death. Although the American College of Chest Physicians Evidence-Based Clinical Practice Guidelines recommend surgical pulmonary embolectomy in patients with acute pulmonary embolism associated with hypotension, there are few reports of 30-day mortality rates. We performed a retrospective review of acute pulmonary embolectomy procedures performed in 96 consecutive patients who had severe, globally hypokinetic right ventricular dysfunction as determined by transthoracic echocardiography. Data on patients who were treated from January 2003 through December 2011 were derived from health system databases of the New York State Cardiac Surgery Reporting System and the Society of Thoracic Surgeons. The data represent procedures performed at 3 tertiary care facilities within a large health system operating in the New York City metropolitan area. The overall 30-day mortality rate was 4.2%. Most patients (68 [73.9%]) were discharged home or to rehabilitation facilities (23 [25%]). Hemodynamically stable patients with severe, globally hypokinetic right ventricular dysfunction had a 30-day mortality rate of 1.4%, with a postoperative mean length of stay of 9.1 days. Comparable findings for hemodynamically unstable patients were 12.5% and 13.4 days, respectively. Acute pulmonary embolectomy can be a viable procedure for patients with severe, globally hypokinetic right ventricular dysfunction, with or without hemodynamic compromise; however, caution is warranted. Our outcomes might be dependent upon institutional capability, experience, surgical ability, and careful patient selection.

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